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Name of Person Filing: In this case I am: In this case I am: If Represented by Attorney: My Address (if not protected): City, State, Zip Code: Telephone Numbers: ATLAS Number: (if applicable) Petitioner
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When a person is represented by an attorney, the attorney is authorized to act on their behalf in legal matters.
The attorney representing the individual is required to file on their behalf.
The attorney must accurately fill out the form with all necessary information on behalf of their client.
The purpose is to ensure proper legal representation and authorization for the attorney to act on behalf of their client.
All relevant information pertaining to the legal matter at hand must be reported on the form.
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ARIZONA MARICOPA DRCV81f-032213 childr APPEALABLE 1st 15th Respondents DRCV81f Petitioners Worksheet Respondent deviates Clearinghouse acquires adopts evidenced applicable LIMITATION uninsured installments DISCRETIONARY Pursuant coercion Petitioner EXCHAN

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